Clinical History

Imaging Findings

Discussion

Diagnosis of testicular trauma can be confidently
established on the basis of the generally impressive
clinical presentation and anamnestic data : a kick to the
scrotum or straddle injury. Testis viability is often
determined only by surgery.
US may be useful when showing small purely intratesticular
hematoma, with overall preserved testis echogeneity,
vascularization and limits. Such cases are treated
conservatively.
Surgery is necessary in case of hematocele, suspicion of
associated spermatic cord torsion, large parenchymal
contusions, testicular fracture or albuginea laceration.
However in these cases subsequent irregularities of
testicular contours can be difficult to reveal. Therefore
geographic patterns suggesting dissecting intratesticular
hematoma, should direct to surgery.

Well delineated avascular hypoechoic areas with geographic limits within the middle and inferior part of the testis. Subcapsular hematoma. Unclear delineation of the posterior contour of the gland on the longitudinal...

Well delineated avascular hypoechoic areas with geographic limits within the middle and inferior part of the testis. Subcapsular hematoma. Unclear delineation of the posterior contour of the gland on the longitudinal scan. At surgical exploration, fractured testis with extensive dissecting hematoma and completely ruptured tunica albuginea; orchiectomy.